Autumn Leaves, Inc.
NPI 1902936420 · Intellectual Disabilities Intermediate Care Facility · Decatur, IL
Autumn Leaves, Inc. is a Intellectual Disabilities Intermediate Care Facility organization in Decatur, IL (NPI 1902936420).
Provider details
- NPI number
- 1902936420
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Autumn Leaves. Inc
- Organization subpart
- Yes
- Authorized official
- David Jacobus, President(217) 763-2191
- License
- 38737 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fourty Fourth Street Place
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2017-01-23
Frequently asked questions
- What is Autumn Leaves, Inc.'s NPI number?
- Autumn Leaves, Inc.'s National Provider Identifier (NPI) is 1902936420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Autumn Leaves, Inc.?
- Autumn Leaves, Inc. is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Autumn Leaves, Inc. located?
- Autumn Leaves, Inc.'s practice location on file with NPPES is 1479 S 44th St, Decatur, IL 62521-4323.
- What is Autumn Leaves, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Autumn Leaves, Inc. is (217) 422-2773.
- Who is the authorized official for Autumn Leaves, Inc.?
- The authorized official listed on Autumn Leaves, Inc.'s NPPES record is David Jacobus, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Autumn Leaves, Inc.'s NPI active?
- Yes — Autumn Leaves, Inc.'s NPI (1902936420) is active in the NPPES registry as of the last update on 2017-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.